AUTHOR=Tao Xingxiang , Dang Hao , Zhou Xiaoguang , Xu Xiangdong , Xiong Danqun TITLE=A Lightweight Network for Accurate Coronary Artery Segmentation Using X-Ray Angiograms JOURNAL=Frontiers in Public Health VOLUME=Volume 10 - 2022 YEAR=2022 URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2022.892418 DOI=10.3389/fpubh.2022.892418 ISSN=2296-2565 ABSTRACT=Accurate and automated segmentation of coronary arteries in X-ray angiograms is essential for cardiologists to diagnose the coronary artery disease in clinical. The existing deep learning-based coronary arteries segmentation models are focus on using complex networks to improve the accuracy of segmentation while ignoring the computational cost. However, performing such segmentation networks requires a high-performance device with a powerful GPU and high bandwidth memory. To address this issue, in this paper, a lightweight deep learning network is developed for better balance between computational cost and segmentation accuracy. We have made two efforts in designing the network. On the one hand, we adopt bottleneck residual blocks to replace the internal components in encoder and decoder of traditional U-Net to make the network more lightweight. On the other hand, we embed the two attention modules to model long-range dependencies in spatial and channel dimensions for the accuracy of segmentation. In addition, we employ Top-hat transforms and contrast limited adaptive histogram equalization (CLAHE) as the pre-processing strategies to enhance the coronary arteries to further improve the accuracy. Experimental evaluations conducted on coronary angiograms dataset show that the proposed lightweight network performs well for accurate coronary artery segmentation, achieving the sensitivity, specificity, accuracy, and Area Under Curve (AUC) of 0.8770, 0.9789, 0.9729, and 0.9910, respectively. It is noteworthy that the proposed network contains only 0.75M of parameters, which achieves the best performance by the comparative experiments with popular segmentation networks (such as U-Net with 31.04M of parameters). Experimental results demonstrate that our network can achieve better performance with extremely low number of parameters. Furthermore, generalization experiments indicate that our network can accurately segment coronary angiograms which from other coronary angiograms database, which demonstrates the strong generalization and robustness of our network.